Shinshinim Application

Applicant Information

Name*

First Last

Email*

Cell Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Gender

How do you identify Jewishly?*

Synagogue Affiliation (if applicable)

Family Information

Name of one Parent or Guardian*

First Last

Primary Email of Parent or Guardian*

Cell Phone of Parent or Guardian*

Education, Extra-Curricular, Leadership, and Volunteer Activities

Name of High School you graduated from or will graduate from, and date.*

Name of college you are attending or will attend and start date.*

Do you have any camp/youth group experience?*

Yes
No

Names of camps/youth groups and years attended.*

Please list all positions you have held as a camp counselor, teacher, youth group board member, or other leadership positions, both in Jewish and secular communities.*

List hobbies, awards, clubs, organizations, honors received, and volunteer experience.*

Personal Statement

Please upload in PDF format only a one-page, single space document personal statement. Tell us about yourself, how you describe your connection to Israel, and why you are interested in participating in the Shinshinim IL program.*

Accepted file types: pdf, Max. file size: 128 MB.

Travel Experiences

Including but not limited to Israel travel experiences.

Have you ever traveled as part of a group or delegation without your parents?*

Yes
No

Please tell us what travel programs you have been on and their durations.*

References

Please give us the name, email address, and cell phone number for two people who will serve as your references. They should be non-related adults, such as a teacher, mentor, rabbi, youth director, or employer.*

Phone

This field is for validation purposes and should be left unchanged.